Active NPI
Danielle Young
- Social Worker
- Mesa, AZ
National Provider Identifier
1902414782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW-17959
- Practice address
- 3707 E Southern Ave
Mesa, AZ 85206-2569 - Phone
- (480) 678-6039
- Fax
- (480) 750-9886
- NPI assigned
- Jul 17, 2020
- Last updated
- Jul 17, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW-17959 | AZ | Primary |
Addresses
Primary practice location
3707 E Southern Ave
Mesa, AZ 85206-2569
Mailing address
3707 E Southern Ave
Mesa, AZ 85206-2569
Phone (480) 678-6039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-17959 | AZ | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart of Abundance, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Mesa, AZ
- NPI 1346874310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594944000000",
"number": "1902414782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3707 E SOUTHERN AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852062569",
"telephone_number": "480-678-6039",
"fax_number": "480-750-9886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3707 E SOUTHERN AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852062569",
"telephone_number": "480-678-6039",
"fax_number": "480-750-9886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-17",
"last_updated": "2020-07-17",
"certification_date": "2020-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AZ",
"license": "LMSW-17959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.